A “Urological” Enterovesical Fistula

Dawam, Daben; Patel, Sandeep; Kouriefs, Chryssanthos; Masood, Shikohe; Khan, Omar; Sheriff, Matin

doi:10.1097/01.ju.0000135119.81501.5a

Cited by 13 publications

(8 citation statements)

References 2 publications

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“…Les fistules vésico-sigmoïdiennes (FVS) se définissent par l'existence d'un trajet anormal reliant le sigmoïde à la vessie. De point de vue anatomopathologique, on peut différencier les fistules entéro-vésicales sous péritonéales qui sont plus rares, post-traumatiques, iatrogènes ou secondaires à une pathologie tumorale pelvienne, des fistules entéro-vésicales transpéritonéales, fréquentes (60%) [ 1 ], habituellement secondaire à une sigmoïdite diverticulaire [ 2 ]. La formation de la fistule évolue classiquement par trois étapes successives: l’étape inflammatoire du sigmoïde suivie par la réaction péri sigmoïdienne avec formation d'adhérences inflammatoires serrées entéro-vésicales puis l'abcédassions se fistulisant dans la vessie.…”

Section: Discussionunclassified

Fistule vesico-sigmoïdienne compliquant une hydatidose intestinale: à propos d’un cas rare

et al. 2014

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Section: Discussionunclassified

Fistule vesico-sigmoïdienne compliquant une hydatidose intestinale: à propos d’un cas rare

et al. 2014

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“…Few cases of urological vesicoenteric fistulas have been described in the literature, and most of these were in the form of isolated case reports [3]. The peak incidence of vesicoenteric fistula is between 55 and 65 years of age.…”

Section: Discussionmentioning

confidence: 99%

“…In surgical treatment, minimally invasive and organ-preserving surgery, such as laparoscopic bladder-preserving surgery, should be performed in the case of a vesicoenteric fistula caused by benign diseases [8]. In a malignant vesicoenteric fistula, Whiteley Jr and Grabstald [9] proposed that a one-stage en bloc resection of the colonic malignancy and involved bladder portion is a reasonable and safe procedure, thus avoiding a total cystectomy [3,4]. Vidal Sans et al [10], however, reported that surgical morbidity and mortality is relatively high, especially in fistula resulting from malignancy.…”

Section: Discussionmentioning

confidence: 99%

Vesicoenteric Fistula due to Bladder Squamous Cell Carcinoma

et al. 2014

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Vesicoenteric fistula is a rare complication of bladder squamous cell carcinoma. We report the case of a 70-year-old male who complained of painless, total gross hematuria. Abdominopelvic computed tomography (CT) revealed an approximately 2.7-cm lobulated and contoured enhancing mass in the bladder dome. We performed partial cystectomy of the bladder dome after transurethral resection of the bladder. The biopsy result was bladder squamous cell carcinoma, with infiltrating serosa histopathologically, but the resection margin was free. Postoperatively, follow-up CT was done after 3 months. Follow-up CT revealed an approximately 4.7-cm×4.0-cm lobulated, contoured, and heterogeneous mass in the bladder dome. A vesicoenteric fistula was visible by cystography. Here we report this case of a vesicoenteric fistula due to bladder squamous cell carcinoma.

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“…High compliance of the bladder and low intravesical pressure mean that pneumaturia and faecaluria are more common (50–90%) than urine flow into the rectum (15%). 7 – 8 Hence, urine cultures usually reveal coliform bacteria such as Escherichia coli and Enterococcus spp.…”

Section: Introductionmentioning

confidence: 99%

Four cases of enterovesical fistula and the importance of CT in the diagnosis

Li¹,

Chen

Zhang

et al. 2017

BJR|case reports

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Enterovesical fistula is an abnormal communication between the urinary bladder and intestine. Diverticulitis is the most common aetiology, accounting for approximately 50–70% of cases, and malignancy is the second most common cause, accounting for approximately 20% of cases. However, most patients are hospitalized because of urinary symptoms. The disease can be misdiagnosed if patients have been symptomatic for a long time before the diagnosis is made. Detection of enterovesical fistula and the underlying disease is important. However, the optimal diagnostic methods have not been clarified. CT scan is the most sensitive diagnostic modality, but should be backed up with cystoscopy, cystography, colonoscopy and barium enema.

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A “Urological” Enterovesical Fistula

Cited by 13 publications

References 2 publications

Fistule vesico-sigmoïdienne compliquant une hydatidose intestinale: à propos d’un cas rare

Fistule vesico-sigmoïdienne compliquant une hydatidose intestinale: à propos d’un cas rare

Vesicoenteric Fistula due to Bladder Squamous Cell Carcinoma

Four cases of enterovesical fistula and the importance of CT in the diagnosis

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